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Clostridium difficile Toxin A and B (Qualitative) in Stool

Published: August 9, 2026Updated: August 15, 2026

This test detects the presence of toxins produced by *Clostridium difficile*, a bacteria that can cause severe diarrhea and intestinal inflammation when overgrown in the gut.

Quick summary

["A positive result may indicate a need for further medical evaluation or treatment for *Clostridium difficile* infection (CDI)."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
46131-9
Short code
CDTFB
Synonyms
C diff Tox B Stl Ql CT Tiss Cult
Category
chemistry
Sample
stool
Container
Sterile, leak-proof plastic container without preservative; anaerobic transport system preferred
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
cytotoxin-tissue-culture-assay
CPT
87230
SNOMED
1081181000119107
Specimen volume
5-10 mL liquid stool or 5-50 g formed stool; minimum 1-2 mL for infants
Stability
Refrigerated at 2-8°C: up to 72 hours. Frozen at -20°C or below: up to 1 week (avoid repeated freeze-thaw cycles). Room temperature: process within 2 hours.
TAT
24–72 hours
Order
routine

What Is *Clostridium difficile* Infection?

*Clostridium difficile* (often called *C. diff*) is a germ that can cause diarrhea, abdominal pain, and sometimes life-threatening complications if it spreads beyond the intestines. It usually spreads through contaminated surfaces or contact with infected people, especially in healthcare settings. This test checks for toxins A and B, which are harmful substances the bacteria releases to harm the gut lining.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms like severe diarrhea (watery or bloody), abdominal pain, or fever after recent antibiotic use—especially broad-spectrum antibiotics like clindamycin, ampicillin, or fluoroquinolones. It’s also used in hospitals to diagnose infections in patients who’ve recently been treated with antibiotics or had gut procedures.

What Does a Positive Result Mean?

A positive result means your stool contains toxins A and B from *C. diff*. This confirms the infection and helps guide treatment, such as stopping antibiotics that may have worsened it or starting medications to kill the bacteria or reduce its harmful effects.

How Is the Test Done?

You’ll provide a fresh stool sample (usually collected in a special container) to be tested in the lab. The test looks for toxins in the stool using a sensitive immunoassay method to detect their presence without measuring exact amounts.

Reference range

Negative: Toxin B not detected. Positive: Toxin B detected.N/A

Specimen: stool

No special patient preparation required. Specimen should be collected prior to initiation of antibiotic therapy for C. difficile when possible. Avoid contamination with urine or toilet water.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

C. diff Toxin Screen

Frequently asked questions

Untreated *C. diff* infection can lead to severe diarrhea, dehydration, or complications like bowel damage or toxic megacolon (a life-threatening condition where the colon swells dangerously). Early diagnosis and treatment are critical to prevent these risks, especially in vulnerable groups like the elderly, immunocompromised patients, or those with recent gut surgeries.
This test helps doctors confirm the infection quickly, so you can start treatment promptly if needed. It’s not used to diagnose symptoms alone but is essential when antibiotics or recent hospital stays raise suspicion.
How long does it take to get results?
Results are typically available within 24 to 48 hours, depending on lab processing times. Your doctor will discuss the findings with you during your follow-up visit.
Can I take anything to prepare for this test?
No special preparation is needed. Collect a fresh stool sample as directed by your healthcare provider, and avoid delaying it if advised by your doctor.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 15, 2026. · Read our editorial policy